Active NPI
Lily Jei-Ho Chang
Doing business as E-Tao Integrative Medicine
- Non-Pharmacy Dispensing Site
- Seattle, WA
National Provider Identifier
1144684051
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Non-Pharmacy Dispensing Site
- License
- NT60454183
- Legal business name
- LILY JEI-HO CHANG
- Doing business as
- E-Tao Integrative Medicine
- Practice address
- 2611 NE 125TH St
Suite 115
Seattle, WA 98125-4373 - Phone
- (425) 286-7018
- Fax
- (888) 431-8819
- NPI assigned
- Apr 6, 2016
- Last updated
- Apr 6, 2016
- Organization subpart
- Yes
- Parent organization
- LILY JEI-HO CHANG
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Lily Jei-Ho Chang, ND
- Title
- Owner
- Phone
- (425) 286-7018
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Non-Pharmacy Dispensing Site | 332900000X | NT60454183 | WA | Primary |
Addresses
Primary practice location
2611 NE 125TH St
Suite 115
Seattle, WA 98125-4373
Mailing address
2980 N Beverly Glen Cir
Suite 100
Los Angeles, CA 90077-1726
Phone (310) 943-4180
Other names 1
- E-Tao Integrative Medicine
National Provider Directory
National Provider Directory- Tax ID family
- Lily Jei-Ho Chang
- Part of
- Lily Jei-Ho Chang
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
dba E-Tao Integrative Medicine
- Non-Pharmacy Dispensing Site
- Kirkland, WA
- NPI 1043664436
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1459900800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1459900800000",
"number": "1144684051",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2980 N BEVERLY GLEN CIR",
"address_2": "SUITE 100",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900771726",
"telephone_number": "310-943-4180",
"fax_number": "888-431-8819"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2611 NE 125TH ST",
"address_2": "SUITE 115",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981254373",
"telephone_number": "425-286-7018",
"fax_number": "888-431-8819"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LILY JEI-HO CHANG",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "LILY JEI-HO CHANG",
"enumeration_date": "2016-04-06",
"last_updated": "2016-04-06",
"status": "A",
"authorized_official_last_name": "CHANG",
"authorized_official_first_name": "LILY",
"authorized_official_middle_name": "JEI-HO",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "425-286-7018",
"authorized_official_credential": "ND"
},
"taxonomies": [
{
"code": "332900000X",
"taxonomy_group": "",
"desc": "Non-Pharmacy Dispensing Site",
"state": "WA",
"license": "NT60454183",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "E-Tao Integrative Medicine",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Seattle, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.